Individual
DR. JUSTIN A LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15843 WHITE OAK, FRASER, MI 48026-5200
(586) 365-9451
Mailing address
15843 WHITE OAK, FRASER, MI 48026-5200
(586) 365-9451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020209
MI
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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